ANTONIO M ORTEGA MD PA — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, TX)
ANTONIO M ORTEGA MD PA — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, TX) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: ANTONIO M ORTEGA MD PA; Type: Organization; NPI: 1003136201.
| Name | ANTONIO M ORTEGA MD PA |
|---|---|
| Type | Organization |
| NPI | 1003136201 |
| Provider type | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| State | TX |
| Enrollment ID | O20100629000655 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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